Att_26_-_Past_Performance_Questionnaire.docx
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- Photography and Merchandise Sales
- Solicitation number
- R15PS00114
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Past Performance Questionnaire
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Solicitation No. R15PS00114 Hoover Dam Photography Operations and Merchandise Sales
PAST PERFORMANCE QUESTIONNAIRE (PPQ)
U.S. Department of the Interior, Bureau of Reclamation, Boulder City, NV, is considering the firm listed below. Your comments would be appreciated regarding this firm’s past performance.
Past Performance Information:
Name and Address of Firm Being Evaluated:______________________________________
Contract No.:__________________ Type of Contract: _____________________ Project Title:___________________ Date of Award:_________________ Completion Date: _____________________ Location:______________________ Initial Amount:__________________ Final Amount: ________________________ Description:
Evaluator: (The following information will assist in the analysis of the data.)
Name of Evaluator:
Company/Agency Name:
Address:
Phone Number:
Email Address:
Position Held or Function in Relation to Project:
Rating: If the rating is Marginal or Unacceptable, please provide additional information in the appropriate block or in the remarks section of this form.
| “O” |
| Outstanding |
| Performance greatly exceeded the contract requirements. |
| “A” |
| Above Average |
| Performance exceeded the contract requirements. |
| “S” |
| Satisfactory |
| Performance met the contract requirements. |
| “M” |
| Marginal |
| Performance met the minimum contract requirements but |
Some material aspects of the contractor’s performance were less than satisfactory.
| “U” |
| Unacceptable |
| Performance was poor and/or did not satisfy contract requirements. |
SOURCE SELECTION SENSITIVE WHEN COMPLETED
***NOT TO BE RELEASED OUTSIDE GOVERNMENT CHANNLES***
Please circle the appropriate rating and provide any supporting information/comments for the following:
| 1. The relationship between the firm and your client/customers: |
| O A S M U |
| 2. The firm’s management and coordination of work performed: |
| O A S M U |
| 3. Overall corporate management, integrity, reasonableness and cooperative conduct: |
| O A S M U |
| 4. Quality of work: |
| O A S M U |
| 5. Quality control: |
| O A S M U |
| 6. Ability to meet the performance schedule(s): |
| O A S M U |
| 7. Ability/actions to improve problems, if applicable: |
| O A S M U |
| 8. Compliance with labor standards, as applicable: |
| O A S M U |
| 9. Compliance with safety standards and/or number of safety related incidents, code compliance, as applicable: |
| O A S M U |
10. Have any cure notices, show cause letters, letter of reprimand, suspension of payment, or termination been issued? If yes, please explain:
Yes No
11. Would you award another contract to the firm being evaluated? If no, please explain:
| 12. Was the customer(s) satisfied with the end products? If no, please explain: |
| Yes No |
13. Has the firm being evaluated been provided an opportunity to discuss or respond to any negative comments or performance ratings? If so, what were the results?
14. Additional Remarks:
| 15. Overall rating for this firm: |
| O A S M U |
Print Name
Signature of Evaluator Date
The questionnaire should be submitted to the Bureau of Reclamation by one of the following means. Return via Fax (702)293-8499, via email to dhinds@usbr.gov, or mailed to Bureau of Reclamation, Attn: Denise Hinds (LC-10306), P.O. Box 61470, Boulder City, NV 89006-1470.
File details come from the government source that posted it. Updated .